Arthroscopic posterior cruciate ligament reconstruction using the posterior trans-septal portal |
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| Affiliation: | 1. Department of Orthopaedic Surgery, Yawatahama City General Hospital, 1-638, Oohira, Yawatahama, Ehime 796-8502, Japan;2. Department of Rehabilitation, Yawatahama City General Hospital, 1-638, Oohira, Yawatahama, Ehime 796-8502, Japan;1. Department of Orthopaedic Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Japan;2. Department of Orthopaedic Surgery, Japan Community Health Care Organization Akita Hospital, Noshiro, Japan;1. The Orthopedic Clinic Association, Phoenix, Arizona, U.S.A.;2. St Vincent''s Hospital, Melbourne, Australia;3. Melbourne University, Melbourne, Australia;1. Department of Orthopaedic Surgery, Medical College of Georgia at Augusta University, Augusta, Georgia;2. Orthopaedic Surgery, Eisenhower Army Medical Center, Fort Gordon, Georgia;3. Department of Orthopaedic Surgery, Wake Forest University School of Medicine, Winston-Salem, North Carolina, U.S.A.;4. Department of Orthopaedic Surgery, Medical University of South Carolina, Charleston, South Carolina, U.S.A.;5. Department of Orthopaedic Surgery, Boston University School of Medicine, Boston, Massachusetts, U.S.A.;6. Steadman Philippon Research Institute, Vail, Colorado, U.S.A.;1. Department of Diagnostic Radiology, Graduate School of Biomedical and Health Science, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan;2. Department of Biostatistics, Medical Center for Translational and Clinical Research, Hiroshima University Hospital, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan;3. MNES Inc. (Medical Network Systems), 1-2-27 Shinonome-honmachi, Minami-ku, Hiroshima, 734-0023, Japan;4. Department of Infectious Diseases, Hiroshima University Hospital, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan |
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| Abstract: | We describe an arthroscopic technique for the reconstruction of the posterior cruciate ligament (PCL), while preserving the remnant bundle of the original PCL and meniscofemoral ligament, using the posterior trans-septal portal. The posterior trans-septal portal provides an excellent visualization of the PCL tibial attachment and an easy access to the tibial tunnel without injuring any neurovascular structure. The remnant bundle of the original PCL and meniscofemoral ligament, which significantly contributes to the posterior stability of the knee joint, are preserved to be healed with a graft and subsequently form an integrated structure. We report a new arthroscopic technique for an effective reconstruction of the PCL, using the posterior trans-septal portal. |
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